@layout("/common/_container.html",{js:["/assets/tool/toolExpressReconciliationJtInstall/toolExpressReconciliationJtInstall_edit.js"]}){

<div class="layui-body-header">
    <span class="layui-body-header-title">修改</span>
</div>

<div class="layui-fluid " style="">
    <div class="layui-card">
        <div class="layui-card-body">
            <form id="toolExpressReconciliationJtInstallForm" lay-filter="toolExpressReconciliationJtInstallForm" class="layui-form model-form" style="max-width: 700px;margin: 40px auto;">
                <input name="id" type="hidden"/>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>修改极兔报价信息</legend>
			  	</fieldset>
                <div class="layui-form-item">
                    <label class="layui-form-label">客户<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <select id="customerName" name="customerName" lay-verify=""  lay-filter="customerName">
                            <option value="快递成本">快递成本</option>
                            <option value="娥英素水收入">娥英素水收入</option>
                            <option value="济南柏川收入">济南柏川收入</option>
                        </select>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">省份<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="province" name="province" placeholder="请输入省份" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">0-0.5KG</label>
                    <div class="layui-input-block">
                        <input id="qj05g" name="qj05g" placeholder="请输入价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">0.5-1KG</label>
                    <div class="layui-input-block">
                        <input id="qj51kg" name="qj51kg" placeholder="请输入价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">1-2KG</label>
                    <div class="layui-input-block">
                        <input id="qj12kg" name="qj12kg" placeholder="请输入价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">2-3.2KG</label>
                    <div class="layui-input-block">
                        <input id="qj232kg" name="qj232kg" placeholder="请输入价格" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <fieldset class="layui-elem-field layui-field-title" style="margin-top: 2px;">
			    	<legend>3.2KG以上</legend>
			  	</fieldset>
                <div class="layui-form-item">
                    <label class="layui-form-label">3.2kg以上首重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="firstWeight32kg" name="firstWeight32kg" placeholder="请输入3.2kg以上首重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">0-5.2kg续重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight052kg" name="cWeight052kg" placeholder="请输入0-5.2kg续重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">5.2-10kg续重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight5210kg" name="cWeight5210kg" placeholder="请输入5.2-10kg续重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">10-40kg续重<span style="color: red;">*</span></label>
                    <div class="layui-input-block">
                        <input id="cWeight1040kg" name="cWeight1040kg" placeholder="请输入10-40kg续重" type="text" class="layui-input" lay-verify="required" required/>
                    </div>
                </div>
                <div class="layui-form-item layui-form-text">
                    <label class="layui-form-label">备注</label>
                    <div class="layui-input-block">
				        <textarea placeholder="请输入内容" class="layui-textarea" name="remarks"></textarea>
                    </div>
                </div>
                <div class="layui-form-item">
                    <label class="layui-form-label">地区加收</label>
                    <div class="layui-input-block">
                        <input id="additional" name="additional" placeholder="请输入地区加收" type="text" class="layui-input" lay-verify="" required/>
                    </div>
                </div>
                <div class="layui-form-item">
                    <div class="layui-input-block">
                        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
                        <button class="layui-btn layui-btn-primary" type="button" id="backupPage">&emsp;返回&emsp;</button>
                    </div>
                </div>
            </form>
        </div>
    </div>
</div>

@}